Atlantic Urology PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ATLANTIC UROLOGY PC

Practice address

1606 Physicians Dr
Suite 101
Wilmington, NC 28401-7361

Phone

(910) 362-8765

Fax

(910) 362-9123

NPI assigned

Jul 7, 2006

Organization subpart

No

Name

Richard J Mynatt, MDNPI 1568487627

Title

Owner

Phone

(910) 362-8765

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard J Mynatt, MD

  • Urology Physician
  • Sunnyside, WA
  • NPI 1568487627

  Urology

  NPD (past) Authorized official
• Victor Elias Abraham, MD

  • Urology Physician
  • Wilmington, NC
  • NPI 1003848540

  Urology

  NPD (past)
• Melinda Bagshaw, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
  • NPI 1407889124
  NPD (past)
• Edward Orestes Janosko II, MD

  • Urology Physician
  • Wilmington, NC
  • NPI 1649257742

  Urology

  NPD (past)
• Wesley McLean, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
  • NPI 1235154394
  NPD (past)
• Cynthia Merrell, CRNA

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
  • NPI 1033142765
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 5, 2008.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1366474835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 600085",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276756085",
            "telephone_number": "910-362-8765",
            "fax_number": "910-362-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 PHYSICIANS DR",
            "address_2": "SUITE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017361",
            "telephone_number": "910-362-8765",
            "fax_number": "910-362-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "MYNATT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-362-8765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89011MU",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Atlantic RX LLC
• Atlantic RX LLC
• Atlantic Sleep Centers, PLLC
• Atlantic Speech Therapy, P.C.
• Atlantic Surgicenter, LLC
• Atlantic Urology PC
• Atlantic Vision Center OD PLLC
• Lindsay Audia
• Jenny August, LCMHCA #A15419
• Isabell Grace Ausel, RBT

• All providers in Wilmington, NC
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.